China News Service, March 27 (Xinhua) The website of the National Health Commission released an interpretation of the "Notice of the General Office of the National Health Commission on Strengthening the Management of Midwifery Services" on the 27th. According to the interpretation, the "Notice" emphasizes that public medical institutions should assume the full responsibility for obstetric services and puts forward specific requirements for strengthening midwifery services from six aspects.
The full text is read as follows:
Interpretation of "Notice of the General Office of the National Health Commission on Strengthening the Management of Midwifery Services"
1. Drafting background
Midwifery services are basic medical services, related to the safety and health of mothers and babies, and the happiness of thousands of families. In order to ensure the accessibility of midwifery services, improve the quality of midwifery services, and effectively ensure the safety of mothers and infants, on the basis of extensively listening to the opinions of local health administrative departments, medical institutions and industry experts, our committee has formulated and issued the "National Health Commission Notice of the General Office on Strengthening the Management of Midwifery Services.
2. Main content
The "Notice" emphasizes that public medical institutions must assume the full responsibility for obstetric services and puts forward specific requirements for strengthening midwifery services from six aspects. First, strengthen the planning and layout of midwifery services to ensure the supply of midwifery services and effectively meet the needs of pregnant women. The second is to take the initiative to publish the list of midwifery institutions and actively accept social supervision to facilitate the people to seek medical treatment in an orderly manner. The third is to strengthen the quality management of midwifery services and comprehensively improve the quality and safety level. The fourth is to carry out the construction of fertility-friendly hospitals, optimize health care services during pregnancy and childbirth, and promote safe and comfortable delivery. The fifth is to standardize the adjustment of midwifery service resources and clarify the adjustment procedures to ensure the accessibility of midwifery services. The sixth is to improve the policy guarantee mechanism, build a policy guarantee mechanism to promote the high-quality development of obstetrics, and mobilize the enthusiasm of obstetrics medical personnel.
3. Interpretation of key issues
(1) Regarding the planning and layout of midwifery services.
The "Notice" requires that health administrative departments at all levels should combine the preparation of regional medical and health service system plans and medical institution establishment plans to plan and layout midwifery service resources within their own administrative regions to ensure the supply of midwifery services and effectively meet the needs of pregnant women. In principle, counties (cities and districts) with a population of more than 300,000 have at least two public medical institutions that can provide midwifery services, and counties (cities and districts) with a population of less than 300,000 have in principle at least one public medical institution that can provide midwifery services. To provide services, it is necessary to ensure that relevant primary medical and health institutions have midwifery service capabilities in areas with vast territory, sparse population, and inconvenient transportation.
(2) Regarding the adjustment of midwifery service resources.
The "Notice" sets out standard requirements for the adjustment of midwifery service resources. First, strictly adhere to the bottom line of service. In principle, maternal and child health care institutions at all levels, public general hospitals at level 2 and above, public medical institutions tasked with the task of treating critically ill pregnant women, and public primary medical and health institutions in sparsely populated areas should ensure continuous obstetric services. Exceptions will be made by local health administrative departments to coordinate and adjust medical resources. The second is to standardize the adjustment procedures. When public medical institutions plan to close obstetrics departments, they must extensively solicit opinions from registered pregnant women and seek written opinions from local sub-district offices (township governments) and county-level health administrative departments to effectively protect the people's rights to medical treatment. The third is to ensure the connection of services. The closure of obstetric departments of medical institutions should be approved by the registration authority in accordance with regulations, formulate business adjustment plans, properly provide maternal check-up and hospital delivery continuity services, reasonably arrange the positions of medical personnel, and standardize the transfer of birth medical certificates and other materials.
(3) Regarding the construction of fertility-friendly hospitals.
The "Notice" proposes that midwifery institutions should strengthen the construction of birth-friendly hospitals, fully equip medical staff and facilities and equipment, rationally set up outpatient waiting areas, optimize the layout and service processes of obstetric clinics, and create a warm and comfortable environment for delivery and hospitalization. In terms of optimizing services, we will promote comprehensive appointment diagnosis and treatment, promote appointment hospital delivery, provide maternal-centered humanized delivery services, and actively carry out analgesic delivery services. Qualified medical institutions can provide family members to accompany delivery to promote safe and comfortable delivery. In terms of improving conditions, qualified midwifery institutions are encouraged to strengthen the establishment of high-quality, inclusive obstetric beds, adjust and optimize hospital resources, increase the number of single and double rooms in obstetric wards, and effectively improve obstetric hospitalization conditions.
(4) Regarding improving and improving the policy guarantee mechanism.
The "Notice" puts forward requirements for improving the obstetric policy guarantee mechanism from the two levels of health administrative departments and medical institutions. On the one hand, health administrative departments at all levels are required to actively coordinate with relevant departments to build a policy guarantee mechanism that promotes the high-quality development of obstetrics. On the other hand, it is emphasized that public hospitals at all levels should conscientiously implement the "Guiding Opinions on Deepening the Reform of the Salary System of Public Hospitals", strengthen the public welfare attribute, improve the internal distribution system, mobilize the enthusiasm of obstetrics medical staff, and strive to improve the salary level of obstetricians in general hospitals. It should not be lower than the average salary level of hospital doctors. It is strictly prohibited to issue income-generating indicators to obstetrics and obstetrics medical staff. The salary of obstetrics and gynecology medical staff must not be linked to business income from drugs, health materials, examinations, laboratory tests and other services.